SPECIALTY TRAINING PROGRAMME IN RADIOLOGY
IN MERSEY DEANERY
PROGRAMME DESCRIPTION
This is a ST1 year training programme in...
Clinical duties throughout the rotations
There will be minor variations in different posts in different hospitals but this...
Salary Scale
The current nationally agreed pay scale for this grade is payable.
Unforeseen Circumstances
In accordance wit...
Unsuccessful candidates may ask for feedback after short listing or interview.
Appendix 1:
Mersey School of Radiology (MSR) Executive Committee
Head of School – Dr Hilary Fewins
- secretary Mrs Joan Sc...
Appendix 2:
A brief description of the departments on the scheme follows. The College Tutors’ names are given
in brackets....
Afternoon RLUH
Teaching
University CT/MR Screening
2nd
Year Specialist Registrars
Monday Tuesday Wednesday Thursday Friday...
THE ROYAL LIVERPOOL & BROADGREEN UNIVERSITY HOSPITALS NHS TRUST
DEPARTMENT OF NUCLEAR MEDICINE
(Dr Linda Smith)
This depar...
UNIVERSITY HOSPITAL AINTREE
(Dr Erica Thwaite, Dr Becky Hanlon)
Training is based entirely at Aintree Hospital. This is no...
WIRRAL HOSPITALS NHS TRUST
(Dr Simon Lea)
Wirral Hospital provides a complete District General Hospital service to the peo...
Management experience is gained by attending monthly Directorate meetings. There is a large film
library and film bags a...
THE COUNTESS OF CHESTER NHS TRUST - COUNTESS OF CHESTER HOSPITAL
(Dr Ann Wright)
This is a modern District General Hospita...
NORTH CHESHIRE HOSPITALS NHS TRUST - WARRINGTON HOSPITAL
(Dr Rachel Magennis)
Registrars allocated to North Cheshire are c...
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Transcript of "SPECIALTY TRAINING PROGRAMME IN RADIOLOGY "

  1. 1. SPECIALTY TRAINING PROGRAMME IN RADIOLOGY IN MERSEY DEANERY PROGRAMME DESCRIPTION This is a ST1 year training programme in Radiology aimed at doctors who can demonstrate the essential competencies to enter this level of training. The programme is designed to train for a CCT in Radiology. The programme is based in hospitals in the Mersey Deanery including: ♦ Royal Liverpool University Hospital ♦ The Cardio thoracic Centre - Liverpool ♦ The Walton Centre ♦ University Hospital Aintree ♦ Royal Liverpool Children’s Hospital (Alder Hey) ♦ Whiston Hospital ♦ Clatterbridge Centre for Oncology ♦ Wirral Hospitals (Arrowe Park and Clatterbridge) ♦ North Cheshire Hospital, Warrington ♦ Countess of Chester Hospital ♦ Leighton Hospital The Administrative Trust is North Cheshire Hospital Trainees will spend between three months and one year in any individual hospital. All trainees will work in both district general hospital and teaching hospital environments. Following success at RITA and RCR examinations progress through the scheme is expected without re-applying for posts. Trainees will be involved in general radiology on-call from year 2. There are no on call posts for year 1 SpRs until an end-of-year assessment is passed and then only if funded posts are vacant. The programme is designed to have...: - General radiology to end of year 3 (mandatory) - Most trainees to short attachments in Paediatric radiology, neuroradiology, cardio thoracic radiology, oncology and nuclear medicine as part of their general training - Subspecialty radiology in years 4 and 5 Subspecialty radiology experience options include: • CT/MR Scanning • Nuclear Medicine • Ultrasound • Breast Imaging • Cardio thoracic Imaging • Gastrointestinal Radiology • GI Interventional Radiology • Maxillo-facial and ENT Radiology • Musculo-skeletal Radiology • Neuroradiology • Oncology • Paediatric radiology • Urological Radiology • Vascular Radiology
  2. 2. Clinical duties throughout the rotations There will be minor variations in different posts in different hospitals but this list is aimed at covering the majority of duties: 1. Liaise with clinical staff in the day-to-day management of patients 2. Attend departmental sessions as per job plan. 3. Attend and participate in Multidisciplinary Team meetings and other clinico-radiological meetings as timetabled 4. Attend radiology clinics when part of job plan. 5. Take part in rostered emergency work, requesting senior advice when required. 6. Attend university sessions and other arranged teaching activities 7. Study for higher examinations and maintain continued professional development. 8. Undertake audit at various times throughout the rotations. Attend audit meetings. 9. Teach medical students, junior doctors and other staff as directed. 10. Co-operate with members of the personnel department when monitoring hours of work and other personnel issues. 11. Notify employing Trust when on sick leave. 12. Attend induction in each hospital or new department 13. Comply with all local policies including dress code, annual and study leave Study and Training The Deanery is committed to developing postgraduate training programmes as laid down by PMETB, Colleges and Faculties and by the Postgraduate Dean’s Network. At local level, college/specialty tutors work with Director of Postgraduate Education in supervising these programmes. Trainees will be expected to take part in these programmes (including audit) and to attend counselling sessions/professional review. Study leave will form part of these education programmes and will be arranged in conjunction with the appropriate tutor. All posts are recognised for postgraduate training. Study leave is granted in accordance with Deanery policy and is subject to the maintenance of the service. Main Conditions of Service The posts are whole-time and the appointments are subject to:- The Terms and Conditions of Service for Hospital Medical and Dental Staff (England and Wales) Satisfactory registration with the General Medical Council (London) Medical Fitness – You may be required to undergo a medical examination and chest x-ray. Potential applicants should be aware of the Department of Health and GMC/GDC requirements with regards to HIV/AIDS and Hepatitis viruses. Candidates must be immune to Hepatitis B. You will be required to provide, in advance of appointment, evidence of immunity or have a local blood test (as deemed necessary by the Occupational Health Department)
  3. 3. Salary Scale The current nationally agreed pay scale for this grade is payable. Unforeseen Circumstances In accordance with the Terms and Conditions of Service of Hospital Medical and Dental Staff (England and Wales) paragraph 110, Junior Doctors shall be expected in the run of their duties and within their contact and job description, to cover for the occasional and brief absence of colleagues as far as is practicable. European Working Time Directive (EWTD) All posts on the rotation comply with European Working Time Directive regulations. Junior Doctors’ Monitoring From 1 December 2000 there is a contractual obligation to monitor junior doctors’ New Deal compliance. In accordance with Health Service Circular 2000/031 junior doctors have a contractual obligation to monitor hours on request; this will include participation in local monitoring exercises. Removal expenses The removal expenses applicable to this post will be the policies issued by the Administrative Trust. You should not commit yourself to any expenditure in connection with relocation before first obtaining advice and approval from the Personnel Department at your Administrative Trust, otherwise you may incur costs, which you will be unable to claim. Travelling Expenses The scheme hospital closest to the doctor’s home is the base hospital. Return mileage is paid from base hospital to place of work at nationally agreed rates. Overnight accommodation is available. Study leave and examination expenses are paid after approval from the local Trust. Use of Information Technology Under the Computer Misuse Act 1990, any individual who knowingly attempts to gain unauthorised access to any programme or data held on a computer can be prosecuted. An individual who modifies any programme or data in a computer which they are unauthorised so to do, is also liable under the Act. If found guilty of these offences a person may be given a custodial sentence of up to six months or a fine or both. The person would also be subject to disciplinary action which may result is dismissal. Similarly, in accordance with copyright law, any person involved in the illegal reproduction of software or who makes, acquires or uses unauthorised copies of computer software, will be subject to disciplinary action, which may lead to dismissal. Notification of Termination of Employment A period of 3 months notice is expected Application process Applicants may not contact the members of the interview panel once the advert is placed but, once short listed, applicants may visit one of the Teaching Hospital departments prior to interview. Short listed candidates may contact:- Pia Whiteside, secretary to Dr Mark Hughes, Programme Director Royal Liverpool University Hospital Tel: (0151) 706 2915 Or Joanne Wilson, secretary to Dr John Curtis, Regional Advisor University Hospital Aintree Tel (0151) 529 2925
  4. 4. Unsuccessful candidates may ask for feedback after short listing or interview.
  5. 5. Appendix 1: Mersey School of Radiology (MSR) Executive Committee Head of School – Dr Hilary Fewins - secretary Mrs Joan Scott (0151 794 5776) - email Hilary.Fewins@ctc.nhs.uk Programme Director – Dr Mark Hughes - secretary Miss Pia Whiteside (0151 706 2915) - email Mark.Hughes@rlbuht.nhs.uk Deputy Programme Director – Dr Becky Hanlon Regional Advisor – Dr John Curtis - secretary Miss Joanne Wilson (0151 529 2925) STEC Chair – Dr Gian Abbott MSR Website www.merseydeanery.nhs.uk
  6. 6. Appendix 2: A brief description of the departments on the scheme follows. The College Tutors’ names are given in brackets. THE ROYAL LIVERPOOL & BROADGREEN UNIVERSITY HOSPITALS NHS TRUST (THE ROYAL LIVERPOOL UNIVERSITY HOSPITAL SITE) (Clinical Tutors: Dr Jonathan Evans, Dr Hifz Aniq, Dr Priya Healey) The Royal Liverpool University Hospital was opened in October 1978 and is the major teaching hospital in the Mersey Region for the University of Liverpool. In 1995, the merger with Broadgreen produced one of the largest acute provider Trusts in the country with 1260 in-patient beds. It is a provider of clinical services in most of the main medical and surgical departments, many offering a service for tertiary referral from both within and outside the Mersey Region in addition to the local community. There are very close ties with the Faculty of Medicine of the University of Liverpool. The clinical academic departments of the Faculty are situated on the same site as the gastroenterology, vascular surgery, renal transplantation, nephrology, head and neck oncology, haematology and nuclear medicine. The Infectious Diseases department has moved to RLUH recently. The main x-ray department consists of 14 rooms including Special Techniques Suite (2 rooms). There is a 16 slice and a single slice CT scanner. Two 1.5T Philips Intera MR scanners were installed in 2005. The regional assessment centre for breast imaging is based in the Linda McCartney Centre on the Royal Liverpool University Hospital site. There is a 3-roomed X-ray Department in the Accident & Emergency Unit, which is being expanded and houses one of the CT scanners. There is a busy Ultrasound Department with 4 rooms. There are facilities for colour duplex imaging and transrectal imaging. GE Centricity PACS has been installed in Summer 2006. The radiological establishment consists of 15 WTE NHS consultants. There are up to 14 Specialist Registrars, many on subspecialty attachments. The Clinical Lecturer in the University Department of Medical Imaging has their clinical sessions at RLUH. The critical facilities for the trainees are good. There is a Specialist Registrars’ coffee room, a conference room and a library/study area. There is access to personal computers, the Internet and email. There is a radiology teaching file on computer in the department (International Medical Multimedia AiMS 2.0). The University film library is based in the RLUH Department and there is a collection of up to date reference books and major radiological journals. There is a library within the new Education Centre, which has a good collection of journals and CD ROM literature search facilities. The University Department of Medical Imaging with its extensive library and the Liverpool Medical Institution are a short walk away. There are numerous clinico-radiological meetings representing most of the clinical specialties. A Monday afternoon teaching session for Specialist Registrars has been introduced, with a blend of formal talks, an interesting films hour, film viewing sessions and a journal club. All juniors attend this meeting and have no departmental commitment during teaching. Research is encouraged within the department and there has been a consistent record of trainees presenting work at national and international meetings. There are regular departmental audit meetings at which trainees often contribute projects. Pre-FRCR trainees rotate through a timetable designed to cover the breadth of Radiology offered on the RLUH site, including Breast Imaging and Sialography. For post-FRCR trainees we offer many subspecialty attachments and generally have 2 or 3 trainees on subspecialty attachments at any time. There is also an Interventional Fellowship post. As there are a large number of trainees, we have included sample rotas from years 1,2 and 5. 1st Year Specialist Registrars Monday Tuesday Wednesday Thursday Friday Morning U/S RLUH CT/MR University Screening U/S RLUH
  7. 7. Afternoon RLUH Teaching University CT/MR Screening 2nd Year Specialist Registrars Monday Tuesday Wednesday Thursday Friday Morning Specials University Breast Unit Ultrasound CT/MR Afternoon RLUH Teaching University Reporting Screening 4th / 5th year in General Post Monday Tuesday Wednesday Thursday Friday Morning Study CT/MR Flexible at RLUH Screening Reporting Afternoon RLUH Teaching Reporting Specials Study Ultrasound THE CARDIOTHORACIC CENTRE – LIVERPOOL / THE ROYAL LIVERPOOL & BROADGREEN UNIVERSITY HOSPITALS NHS TRUST (BROADGREEN HOSPITAL SITE) (Dr Hilary Fewins – CTC) New CTC/Broadgreen Hospital development Construction began in summer 2003 of a new £80 million development at the CTC/Broadgreen Hospital site. This development included a brand new expanded critical care facility, a new catheter lab, additional operating theatres, new outpatient clinics for the cardiothoracic centre and provision of a diagnostic and treatment centre (DTC) for RLBUH. The BGH DTC will concentrate on cold orthopaedic and urological surgery. A brand new joint imaging department to service both Trusts opened in March 2006 and is a fundamental part of the development. The new department has fixed cardiac optimised MR combined with CT suite. A Philips Brilliance 64 slice CT and Philips Achieva 1.5T Magnet with advanced cardiac software have been installed. There are 6 general rooms and 1 fluoroscopy room. These are Philips DR rooms with integrated CR in orthopaedic rooms. There are also 6 ultrasound rooms. A Toshiba Aplio colour Doppler Ultrasound machine was purchased in 2003 and a Toshiba Nemio and two Siemens Antares colour Doppler Ultrasound machines were purchased in 2005. A two roomed on-site nuclear medicine facility is also being constructed. These could house a Gamma Camera and a combined CT/PET but these capital items have not yet been purchased. The new department is filmless with an integrated HSS RIS/ GE Centricity Picture Archive and Communication system (PACS). This integrated RIS/PACS is fully integrated and shared with RLBUHT and Central Liverpool PCT NHS Trust. At present a digital dictation system is used but we are due to trial voice recognition software shortly. The new department has new consultant offices and a conference room. This joint department will be operated by CTC with most staff employed by CTC. Consultants employed by RLBUH will provide the orthopaedic and urological radiological support for the Broadgreen DTC.
  8. 8. THE ROYAL LIVERPOOL & BROADGREEN UNIVERSITY HOSPITALS NHS TRUST DEPARTMENT OF NUCLEAR MEDICINE (Dr Linda Smith) This department is the lead tertiary referral centre for Nuclear Medicine in the Mersey Region. It provides the regional radiopharmaceutical service. There are four modern gamma cameras. This post provides basic training exposure to diagnostic radionuclide imaging in years 1 to 3. Dr Linda Smith is the Lead Consultant and Educational Supervisor. ROYAL LIVERPOOL CHILDREN'S NHS TRUST (ALDER HEY) (Dr Cinzia Crawley) Royal Liverpool Children's NHS Trust (Alder Hey) is a 340 bedded Paediatric Unit on the east side of the city. It provides a general Paediatric service for the local population and regional referral services for Mersey and from North Wales. The department provides a general paediatric radiology service together with paediatric cardiac radiology and Neuro-radiology (excluding angiography). The main department has 5 X-ray rooms, ultrasound, CT and MRI and Nuclear Medicine. A cardiac catheterisation lab in the cardiac suite serves both cardiology and general angiography. The CT and Gamma Camera units have facilities for adult patients. There are 3 posts, one being a Paediatric Fellowship. Training is provided in all aspects of general paediatric radiology and the Trainees are encouraged to attend the clinical meetings and the many clinico radiological conferences. There is a large teaching museum and slide collection. Time is available for study and for release to attend University departmental lectures. MID-CHESHIRE HOSPITAL NHS TRUST – LEIGHTON HOSPITAL (Dr Anne Troop) Leighton Hospital has recently been approved for training in Radiology, and has been allocated Specialist Registrars from the 1st September 1999. Leighton Hospital Radiology Department is a busy District General Hospital equipped with MR, CT, Digital Screening and ultrasound. There is an active symptomatic and screening breast unit. There are a total of 6 Consultant Radiologists covering a wide spectrum of specialised interests. Trainees benefit from the flexibility offered by the rota at Leighton. Usually more senior SpRs rotate to Leighton and several subspecialty slots are offered.
  9. 9. UNIVERSITY HOSPITAL AINTREE (Dr Erica Thwaite, Dr Becky Hanlon) Training is based entirely at Aintree Hospital. This is now one of the established teaching hospitals in the centre of Liverpool. It is situated close to the main Liverpool to Manchester Road (A580) and is within minutes of the M57. A new casualty department has opened in 1994. There are 8 radiographic rooms, an ultrasound suite, 2 spiral CT scanners and a 1.5T MR scanner, an interventional room and a fast track breast assessment unit. There is a separate obstetric ultrasound department. There are 4 x-ray rooms in Accident & Emergency. A University Department has recently opened and there are currently 3 Professorial posts in various specialties. Subspecialist training posts at Aintree hospital include chest, head and neck, breast, hepatobiliary and intervention. There are 14 Consultant Radiologists and 8 trainees .There is a weekly formal in house training programme. Research and presentations are encouraged. There are numerous weekly cancer MDT and x-ray meetings. GE Centricity PACS has gone live in Winter 2006. CURRENT FIRST YEAR TIMETABLE (Subject to change over time) A.M. P.M. MONDAY SCREENING/ULTRASOUND REPORTING TUESDAY SCREENING/ULTRASOUND CT/MR WEDNESDAY UNIVERSITY UNIVERSITY THURSDAY SCREENING/ULTRASOUND SPECIALS FRIDAY SCREENING/ULTRASOUND CT/MR WALTON CENTRE FOR NEUROLOGY & NEUROSURGERY NHS TRUST (Dr Kumar Das) The Neurosciences Unit has been transferred to the Aintree Hospital site and 1 Specialist Registrar is allocated to the Neuroradiology Department for 3 months. There is a further post for training within Neuroradiology at sub-specialty level. The department offers state of the art Siemens Bi-plane angiography and interventional suite. There is an additional agiography room. There is a multislice CT scanner and two MRI scanners (1.5 T GE and 3.0 T Philips).The post offers an opportunity to be exposed to both the basic and the latest interventional and imaging techniques in neuroradiology
  10. 10. WIRRAL HOSPITALS NHS TRUST (Dr Simon Lea) Wirral Hospital provides a complete District General Hospital service to the people of the Wirral, a catchment population of 350,000. The hospital is on 2 main sites; Arrowe Park Hospital (800 beds) and Clatterbridge General Hospital (500 beds). The acute work and the Accident & Emergency Department are at the Arrowe Park site. The Clatterbridge site is shared with the Regional Centre for Oncology. Wirral Hospitals has the following clinical specialties; General Medicine, Chest Medicine, Cardiology, Endocrinology, Chemical Pathology, Haematology, Gastroenterology, Neurology (visiting from the Walton Centre for Neurosciences), Nephrology, Rheumatology, Dermatology, Geriatrics, Paediatrics (including Neonatal/Special Care), Obstetrics and Gynaecology, General Surgery, Vascular Surgery, Urology, Breast Surgery, ENT, Ophthalmology, Oral Surgery, Orthopaedics, A&E, Anaesthetics/ITU. Wirral Hospital is a Cancer Unit for Lung Cancer, Colo-rectal Cancer and Breast Cancer. Over 200,000 examinations are performed per year. Registrars are based at the Arrowe Park site with sessions at Clatterbridge General Hospital for Breast work, and at Clatterbridge Centre for Oncology, MRI and Nuclear Medicine. Both sites have excellent postgraduate centres with libraries and computer literature search facilities. There are 2 Hospital Grand Rounds on each site per week. The department at Arrowe Park has 2 CT scanners, MR, Ultrasound (3 machines including colour flow Doppler), Bone Densitometry, a digital interventional suite with C-arm (Siemans Multistar), 2 general screening rooms (one digital), and 7 general x-ray rooms. In the Clatterbridge General Department there is one ultrasound room, one screening room, 2 general x-ray rooms and mammography (used for symptomatic work including the rapid access breast clinic). The Clatterbridge Centre for Oncology has MRI CT, Ultrasound, Nuclear Medicine, a screening room and plain radiography. The department performs over 17,000 examinations per year. Specialist Registrars receive extensive training in all aspects of General Radiology from first year to accreditation. Post-Fellowship the department can offer both general posts and more specialist attachments in Oncology, Chest Radiology/Imaging and Ultrasound. The department has a large workload which gives excellent experience. All the expected barium, vascular and other screening work is performed. The CT unit is busy with a workload consisting of CT of the brain, sinuses, head and neck, chest (both cancer staging and HRCT), abdomen, pelvis and bones. There is a large ultrasound throughput with general abdominal and pelvic work, obstetrics, colour flow Doppler (carotids, peripheral arterial and venous, and abdominal), Trans-rectal ultrasound (including biopsies and abscess drainage), testis, neck, breast and musculoskeletal ultrasound. Interventional Radiology includes angioplasty, thrombolysis, vascular stenting, urological and hepatobiliary work. Biopsies and drainage procedures are performed under fluoroscopic, ultrasound and CT control. Trainees also attend Clatterbridge Centre for Oncology for experience of oncological imaging, MRI and Nuclear Medicine. Training in breast imaging is at Clatterbridge General Hospital. There are a large number of Clinico-Radiological meetings and an excellent Grand Round programme (approved by the Royal College of Radiologists for CME credits). In the department there are: Weekly: half day formal teaching session (lectures and topic-related film viewing), Hot seat - interesting film and CT/MRI meetings, regular tutorials/vivas for pre-examination candidates, and anatomy/techniques teaching for first year Registrars. Monthly: Audit half-days consisting of an audit presentation by a Consultant or Registrar, and a lecture (Consultant).
  11. 11. Management experience is gained by attending monthly Directorate meetings. There is a large film library and film bags are available for FRCR preparation. There is a good departmental library and the major journals are available in the department or Postgraduate Medical Centre. There is research going on in the department with which trainees are involved and a steady supply of interesting cases for case reports. The department also trains Radiographers and the Radiology tutors are happy to help with the Radiography and Ultrasonography preparation for FRCR Part I. The role of Radiographers within the department is being extended with many now performing intravenous injections (for IVUs and CT) and doing barium enemas. They operate a very successful yellow dot system for casualty films. The department is fully computerised and is pioneering a voice-activated reporting system. CURRENT TIMETABLE (Subject to change over time) A.M. P.M. MONDAY U/S ORGANS GENERAL SCREENING TUESDAY UNIVERSITY UNIVERSITY WEDNESDAY BARIUM MEALS IVPs THURSDAY CT GENERAL SCREENING FRIDAY BARIUM ENEMAS U/S OBSTETRICS ST HELENS & KNOWSLEY HOSPITALS NHS TRUST - WHISTON HOSPITAL (Dr Andrea Howes) A large District General Hospital near the M62 and M57 motorways 10 miles from the centre of Liverpool. All major specialties are represented including General Medicine, General Surgery, Urology, Orthopaedics, ENT, Obstetrics and Gynaecology and Paediatrics. The Regional Burns and Plastics Surgical Unit is accommodated at the Hospital. There are 10 WTE Consultants, an Associate Specialist and 5 SpRs. Medical students are often attached to the department for special study modules. All routine Radiological techniques are performed within the Department including Ultrasound (General and Obstetric: TA and TV scanning), CT (2 scanners – a four-slice scanner in the CT / MR suite and a 16-slice scanner in the main department), MR (including MR angiography and MRCP), Nuclear Medicine (a Hawkeye Gamma Camera with CT was installed in 2005) and Breast Imaging (screening and rapid access clinics). A variety of interventional procedures are also performed including percutaneous biopsies (CT and Ultrasound guided), abscess drainage, nephrostomy, ureteric stents and oesophageal stents. Some reporting sessions may be undertaken at St Helens hospital. Subspeciality training in cross-sectional imaging and breast radiology can be undertaken . On joining the department trainees are counselled by the Clinical Tutor to establish individual training needs and develop their work plans accordingly (therefore timetable not attached). Trainees are encouraged to participate in the various clinico-radiological meetings, in undergraduate and postgraduate teaching and in Departmental and Hospital Audit. The Department houses a large film museum and a wide range of text books and journals. There is a very active Postgraduate Centre with a comfortable and well equipped Library, Seminar Rooms and Lecture Theatre. There is a weekly Grand Round, numerous clinico-radiology meetings and a weekly departmental business meeting which trainees are expected to attend. There is “in-house” teaching on a Monday afternoon (review of on-call and other interesting cases) and also on a Tuesday morning (more formal “hot seat” type teaching).
  12. 12. THE COUNTESS OF CHESTER NHS TRUST - COUNTESS OF CHESTER HOSPITAL (Dr Ann Wright) This is a modern District General Hospital with easy access to the Motorway system and Liverpool Current facilities include 4 general diagnostic rooms, IVU room, 2 Digital screening rooms, a fully equipped Interventional Radiology Suite and Nuclear Medicine department upgraded in 1996. There are 5 ultrasound machines for obstetrics and general work, including colour and spectral Doppler as well as 1 portable machine which is also used for interventional procedures. This has colour and Spectral flow analysis capability. Four portable ultrasound machines are situated in AED ITU,CCU and MAU. The Chester District Breast Screening Unit which was redeveloped in 2003. A single slice Asteon helical CT scanner was installed in 2000 and alongside a 16 slice helical Aquillion CT scanner in 2004 with Vitrea workstation, two other workstations are also available in the department. A 1.5 T Advanto magnetic resonance scanner was installed in 2005. Implementaion of PACS is immenent and digital radiogaraphy has been installed. Trainees have access to tuition in all branches of Radiology, including CT, MR, ultrasound, fluoroscopy, breast radiology and interventional work. There are monthly Directorate meetings which allow trainees to gain some insight into this management of the department. The trainees also attend and contribute towards monthly audit meetings. There are daily clinico-radiological meetings. Pre-Fellowship tutorials are given throughout the year. Research is encouraged. Before arrival in Chester the individuals training needs are determined by discussion with Specialty Tutor in Radiology. Further assessments are made during and at the completion of the attachment. There is a purpose built Postgraduate Medical Centre on the Countess of Chester Hospital site with a lecture theatre, seminar rooms and a good library and a large new education centre is about to open There is a Seminar Room, film library and a wide range of books/journals within the department. There are also word processing and slide making facilities. A CD Rom based search facility is also available for trainees. The Radiology Department is recognised by the RCR for both general and sub-specialty training (MR, ultrasound and interventional Radiology) in the 4th and 5th years. There are 10 Consultant Radiologists, each with individual interests. There are facilities to accommodate up to 4 trainees. SPECIALIST REGISTRARS ROTA - EXAMPLE Monday Tuesday Wednesday Thursday Friday A.M. Ultrasound CT/MR Reporting Specials Reporting P.M. Reporting Study Study Screening/BSU Screening
  13. 13. NORTH CHESHIRE HOSPITALS NHS TRUST - WARRINGTON HOSPITAL (Dr Rachel Magennis) Registrars allocated to North Cheshire are currently based at Warrington only. Warrington Hospital provides all acute services for Warrington and surrounding areas. It is a 650 bed hospital situated close to the M56, M62 and M6 motorways - about 30 minutes travelling time from Liverpool University. The X-ray Department at Warrington consists of 11 radiographic rooms in the Main Department, 2 radiographic rooms in a separate Accident and Emergency X-ray Department and a 4 room Ultrasound Department. Radio-isotope studies are performed in the Gamma Camera suite situated in the Main Department. There are identical 16 slice CT scanners on the Warrington and Halton sites and teleradiology available. Magnetic Resonance imaging is provided by a 0.5T MRI scanner, soon to be replaced. A large Breast Screening Centre provides screening and diagnostic mammography, ultrasound and breast intervention techniques. There are currnetly 9 full-time Consultant Radiologists, two part-time Consultant Radiologists on the Halton site, and 3 - 4 SpRs. The Registrars are exposed to the full range of work in the Department. Warrington provides a wide range of all aspects of radiology in both imaging and interventional work. The Ultrasound Department provides an extensive service including Doppler and colour flow studies. There is a comprehensive obstetric ultrasound service for patients from Warrington and surrounding areas. Screening and interventional techniques are performed in 2 screening rooms (one digital) and a dedicated operative radiology suite. There are clinico-radiological meetings throughout the week. There is a department library (books, journals and radiographs) as well as radiological books and journals in the large main library in the Postgraduate Centre. Study leave is given to attend lectures at the University of Liverpool and also for a reasonable number of courses accredited by the Royal College of Radiologists. Trainees attend Department Business meetings and also Audit. They are encouraged to participate in Audit. SAMPLE TIMETABLE (Subject to change over time) A.M. P.M. MONDAY REPORTING A&E/GENERAL SCREENING AND REPORTING TUESDAY MODULE MODULE WEDNESDAY SCREENING/GENERAL REPORTING SPECIALS AND/OR GENERAL REPORTING THURSDAY ULTRASOUND HALF DAY FRIDAY ANGIOGRAPHY ULTRASOUND

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